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Topic:Respiratory Health

Respiratory health in horses encompasses the study of the equine respiratory system, its function, and the various conditions that can affect it. The respiratory system in horses includes the upper airways, lungs, and associated structures, which facilitate gas exchange and are vital for maintaining physiological homeostasis during rest and exercise. Common respiratory conditions in horses include equine asthma, infectious diseases like strangles, and exercise-induced pulmonary hemorrhage (EIPH). These conditions can impact a horse's performance and overall health. This page compiles peer-reviewed research studies and scholarly articles that explore the anatomy, physiology, pathophysiology, and management of respiratory health in horses.
Dynamic ventrorostral displacement of the dorsal laryngeal mucosa in horses.
The Veterinary record    April 4, 2013   Volume 172, Issue 19 501 doi: 10.1136/vr.101319
Pollock PJ, Kelly PG, Reardon RJ, Kelly GM.The objectives of this report were to describe the occurrence and features of dynamic ventrorostral displacement of the dorsal laryngeal mucosa (VRDDLM) in a group of Thoroughbred horses presented for investigation of poor performance and/or abnormal respiratory noise. Records from 600, dynamic, endoscopic examinations of the upper respiratory tract of horses were reviewed. Horses with VRDDLM were identified as those in which the dorsal laryngeal mucosa progressively obscured the interarytenoid notch and dorsoaxial portion of the corniculate processes of the arytenoid cartilages during high-sp...
Hypercapnic respiratory acidosis: a protective or harmful strategy for critically ill newborn foals? Vengust M.This paper reviews both the beneficial and adverse effects of permissive hypercapnic respiratory acidosis in critically ill newborn foals. It has been shown that partial carbon dioxide pressure (PCO2) above the traditional safe range (hypercapnia), has beneficial effects on the physiology of the respiratory, cardiovascular, and nervous system in neonates. In human neonatal critical care medicine permissive hypercapnic acidosis is generally well-tolerated by patients and is more beneficial to their wellbeing than normal carbon dioxide (CO2) pressure or normocapnia. Even though adverse effects o...
Development and use of a polarized equine upper respiratory tract mucosal explant system to study the early phase of pathogenesis of a European strain of equine arteritis virus.
Veterinary research    March 28, 2013   Volume 44, Issue 1 22 doi: 10.1186/1297-9716-44-22
Vairo S, Van den Broeck W, Favoreel H, Scagliarini A, Nauwynck H.The upper respiratory tract mucosa represents the first line of defense, which has to be overcome by pathogens before invading the host. Considering the economic and ethical aspects involved in using experimental animals for pathogenesis studies, respiratory mucosal explants, in which the tissue's three-dimensional architecture is preserved, may be ideal alternatives. Different respiratory mucosal explant cultures have been developed. However, none of them could be inoculated with pathogens solely at the epithelium side. In the present study, equine nasal and nasopharyngeal explants were embed...
Comparison of dynamic and resting endoscopy of the upper portion of the respiratory tract in 57 Thoroughbred yearlings.
Equine veterinary journal    March 21, 2013   Volume 45, Issue 6 700-704 doi: 10.1111/evj.12061
Kelly PG, Reardon RJ, Johnston MS, Pollock PJ.Endoscopic examination of Thoroughbred (TB) yearlings is performed routinely to determine the suitability of horses for racing and to ensure that the conditions of sale are satisfied. However, previous research has demonstrated that resting endoscopic examination can be inaccurate in the diagnosis of functional pathology of the upper portion of the respiratory tract (URT). Objective: To investigate the feasibility of performing dynamic overground endoscopy in a group of TB yearlings and to compare the results of resting and dynamic endoscopic examination of the URT. Methods: Prospective cohort...
The use of a tongue tie alters laryngohyoid position in the standing horse.
Equine veterinary journal    March 12, 2013   Volume 45, Issue 6 711-714 doi: 10.1111/evj.12056
Chalmers HJ, Farberman A, Bermingham A, Sears W, Viel L.The use of tongue ties in racing is common, yet there are few data to support their efficacy. In order to make appropriate recommendations for clinical practice and policy on tongue ties, data documenting their effect on upper airway structure are necessary. Objective: To determine the effect of a tongue tie on the resting laryngohyoid position of the standing horse. Methods: Experimental study. Methods: Twelve normal Standardbred horses were subjected to ultrasonographic measures of laryngohyoid position during 3 phases of tack application: Phase I--halter and lead; Phase II--bit, bridle, har...
Pharmacokinetics of midazolam after intravenous administration to horses.
Equine veterinary journal    March 12, 2013   Volume 45, Issue 6 721-725 doi: 10.1111/evj.12049
Hubbell JA, Kelly EM, Aarnes TK, Bednarski RM, Lerche P, Liu Z, Lakritz J.Midazolam is used to control seizures in horses and to enhance muscle relaxation, but its pharmacokinetics are unknown. Objective: To determine the pharmacokinetics and sedative effects of midazolam in horses. Methods: Blinded, randomised, crossover design. Methods: Midazolam was administered i.v. at either 0.05 or 0.1 mg/kg bwt to 6 horses on 2 occasions at least 7 days apart using a crossover design. Blood samples were collected before and at predetermined times through 24 h after administration. Serum midazolam concentrations were determined by a liquid chromatography tandem-mass spectromet...
A case report of lung cancer in a horse trainer caused by exposure to respirable crystalline silica: an exposure assessment.
Safety and health at work    March 11, 2013   Volume 4, Issue 1 71-74 doi: 10.5491/SHAW.2013.4.1.71
Yoon JH, Kim B, Choi BS, Park SY, Kwag HS, Kim IA, Jeong JY.Here, we present a case of lung cancer in a 48-year-old male horse trainer. To the best of our knowledge, this is the first such case report to include an exposure assessment of respirable crystalline silica (RCS) as a quartz. The trainer had no family history of lung cancer. Although he had a 15 pack/year cigarette-smoking history, he had stopped smoking 12 years prior to his diagnosis. For the past 23 years, he had performed longeing, and trained 7-12 horses per day on longeing arena surfaces covered by recycled sands, the same surfaces used in race tracks. We investigated his workplace RCS ...
Near-fatal misuse of medical tape around an endotracheal tube connector during inhalation anesthesia in a horse.
The Canadian veterinary journal = La revue veterinaire canadienne    March 2, 2013   Volume 53, Issue 9 978-982 
Gregson R, Clutton RE.A 7-year-old gelded Irish sports horse weighing 650 kg was anesthetized on 2 consecutive days for lavage of a septic right radio-carpal joint. On both occasions the endotracheal tube connector, which had been bound in medical tape to produce an airtight seal, functioned as a unidirectional valve during mechanical ventilation, retarding expiration, imposing positive end expiratory pressure (PEEP), and probably continuous positive airway pressure (CPAP). The equipment dysfunction was not identified on either occasion despite close inspection prompted by progressive increases in airway pressure a...
Variability in particulate concentrations in a horse training barn over time.
Equine veterinary journal. Supplement    March 2, 2013   Issue 43 51-56 doi: 10.1111/j.2042-3306.2012.00647.x
Ivester KM, Smith K, Moore GE, Zimmerman NJ, Couëtilt LL.Exposure of horses to airborne particulates during stable confinement has been linked with airway inflammation in these animals. Understanding that link requires accurate measures of exposures and greater understanding of the sources of variability in these exposures. Objective: Area and breathing zone particulate concentrations were measured over time in order to determine the relative variability introduced by daily, monthly or between horse variations. Additionally, the relationship between area and breathing zone respirable particulate concentrations was examined. Methods: The study was co...
Effects of repeated transvaginal aspiration of immature follicles on mare health and ovarian status.
Equine veterinary journal. Supplement    March 2, 2013   Issue 43 78-83 doi: 10.1111/j.2042-3306.2012.00606.x
Velez IC, Arnold C, Jacobson CC, Norris JD, Choi YH, Edwards JF, Hayden SS, Hinrichs K.Transvaginal ultrasound-guided follicle aspiration (TVA) is performed clinically but there is little information available on complications associated with this procedure. Objective: It is possible that TVA is associated with damage to the ovary and may induce peritonitis or peritoneal adhesions. This study was conducted to determine the effect of repeated TVA on mare health and ovarian status. Methods: Thirty-two mares were used for oocyte recovery via repeated TVA over a 3 year period; different mares were used each year. In Year 1, ovarian status was monitored in 11 mares by transrectal pal...
Long-term maintenance of arytenoid cartilage abduction and stability during exercise after laryngoplasty in 33 horses.
Veterinary surgery : VS    March 1, 2013   Volume 42, Issue 3 291-295 doi: 10.1111/j.1532-950X.2013.01109.x
Barnett TP, O'Leary JM, Parkin TD, Dixon PM, Barakzai SZ.To (1) assess long-term maintenance of arytenoid cartilage abduction (ACA) after laryngoplasty (LP); and (2) correlate the residual grade of ACA and postoperative abductory loss with arytenoid cartilage stability (ACS) during exercise. Methods: Case series. Methods: Horses re-examined after laryngoplasty (n = 33). Methods: Of 89 LP horses (2005-2010), 33 had historic ACA data available and upper airway endoscopy at rest and during over-ground exercise (mean, 33 months; range, 4-71 months) after surgery. ACA grade at 1 and 6 weeks postoperatively were correlated to long-term ACA grade. Effects ...
Investigation of the role of lesser characterised respiratory viruses associated with upper respiratory tract infections in horses.
The Veterinary record    February 19, 2013   Volume 172, Issue 12 315 doi: 10.1136/vr.100943
Pusterla N, Mapes S, Wademan C, White A, Hodzic E.No abstract available
Autologous bone marrow mesenchymal stromal cells for regeneration of injured equine ligaments and tendons: a clinical report.
Research in veterinary science    February 16, 2013   Volume 95, Issue 1 272-277 doi: 10.1016/j.rvsc.2013.01.017
Renzi S, Riccò S, Dotti S, Sesso L, Grolli S, Cornali M, Carlin S, Patruno M, Cinotti S, Ferrari M.The use of Mesenchymal Stromal Cells (MSCs) in orthopedic practice has recently and rapidly acquired an important role. Therapies based on the use of MSCs for the treatment of acute injuries as well as chronic inflammatory disorders are gradually becoming clinical routine. These cells have demonstrated intriguing therapeutic potentialities (i.e.: inflammation control, tissue regeneration and pathological scar prevention), that have been taken into consideration for use in both human and veterinary medicine. In particular, horses represent high performance athletes considered models for human p...
The application of exhaled breath analysis in racing Thoroughbreds and the influence of high intensity exercise and ambient temperature on the concentration of carbon monoxide and pH in exhaled breath.
Veterinary journal (London, England : 1997)    February 5, 2013   Volume 197, Issue 2 318-323 doi: 10.1016/j.tvjl.2012.12.022
Cathcart MP, Love S, Sutton DG, Reardon RJ, Hughes KJ.Analyses of exhaled breath (EB) and exhaled breath condensate (EBC) are non-invasive modalities for assessing the lower airways but these methods have not been applied to Thoroughbred racehorses in training. The aims of this study were to determine whether EB and EBC could be obtained from Thoroughbred racehorses in the field and to investigate the effects of exercise per se and during different ambient temperatures and humidity on exhaled concentrations of nitric oxide (eNO), carbon monoxide (eCO) and EBC pH. EB and EBC samples were obtained from 28 Thoroughbred racehorses pre- and post-exerc...
Mechanical ventilation and respiratory mechanics during equine anesthesia.
The Veterinary clinics of North America. Equine practice    February 5, 2013   Volume 29, Issue 1 51-67 doi: 10.1016/j.cveq.2012.12.002
Moens Y.The mechanical ventilation of horses during anesthesia remains a crucial option for optimal anesthetic management, if the possible negative cardiovascular side effects are managed, because this species is prone to hypercapnia and hypoxemia. The combined use of capnography and pitot-based spirometry provide complementary information on ventilation and respiratory mechanics, respectively. This facilitates management of mechanical ventilation in conditions of changing respiratory system compliance (ie, laparoscopy) and when investigating new ventilatory strategies including alveolar recruitment m...
[Horse with reduced physical endurance and stridor].
Tijdschrift voor diergeneeskunde    February 2, 2013   Volume 138, Issue 1 47 
Panhuijsen H.No abstract available
A single caudally based frontonasal bone flap for treatment of bilateral mucocele in the paranasal sinuses of an American miniature horse.
Veterinary surgery : VS    February 1, 2013   Volume 42, Issue 4 427-432 doi: 10.1111/j.1532-950X.2013.01093.x
Easley JT, Freeman DE.To describe successful surgical treatment of bilateral mucocele in an American Miniature horse using a single bone flap to approach right and left paranasal sinuses simultaneously. Methods: Clinical report. Methods: A castrated 6-year-old American Miniature Horse with a bilateral mucocele of the paranasal sinuses. Methods: A single bilateral frontonasal sinus flap was used in a standing procedure to access the left and right conchofrontal sinuses simultaneously to remove the mucous contents and to establish permanent drainage into the nasal cavities. Results: The novel procedure used in this h...
Effects of inspired oxygen concentration on ventilation, ventilatory rhythm, and gas exchange in isoflurane-anesthetized horses.
American journal of veterinary research    February 1, 2013   Volume 74, Issue 2 183-190 doi: 10.2460/ajvr.74.2.183
Crumley MN, McMurphy RM, Hodgson DS, Kreider SE.To compare the effects of 2 fractions of inspired oxygen, 50% and > 95%, on ventilation, ventilatory rhythm, and gas exchange in isoflurane-anesthetized horses. Methods: 8 healthy adult horses. Methods: In a crossover study design, horses were assigned to undergo each of 2 anesthetic sessions in random order, with 1 week separating the sessions. In each session, horses were sedated with xylazine hydrochloride (1.0 mg/kg, IV) and anesthesia was induced via IV administration of diazepam (0.05 mg/kg) and ketamine (2.2 mg/kg) Anesthesia was subsequently maintained with isoflurane in 50% or > 95% o...
Respiratory diseases and their effects on respiratory function and exercise capacity.
Equine veterinary journal    February 1, 2013   Volume 45, Issue 3 376-387 doi: 10.1111/evj.12028
Van Erck-Westergren E, Franklin SH, Bayly WM.Given that aerobic metabolism is the predominant energy pathway for most sports, the respiratory system can be a rate-limiting factor in the exercise capacity of fit and healthy horses. Consequently, respiratory diseases, even in mild forms, are potentially deleterious to any athletic performance. The functional impairment associated with a respiratory condition depends on the degree of severity of the disease and the equestrian discipline involved. Respiratory abnormalities generally result in an increase in respiratory impedance and work of breathing and a reduced level of ventilation that c...
Long-term exercising video-endoscopic examination of the upper airway following laryngoplasty surgery: a prospective cross-sectional study of 41 horses.
Equine veterinary journal    January 29, 2013   Volume 45, Issue 5 593-597 doi: 10.1111/evj.12020
Barnett TP, O'Leary JM, Parkin TD, Dixon PM, Barakzai SZ.To investigate upper respiratory tract function in horses, previously undergoing laryngoplasty (LP), using exercising video-endoscopy. Objective: To evaluate arytenoid abduction and stability, diagnose any concurrent upper airway problems, and correlate these with the owners' perception of success. Methods: Horses undergoing LP during a 6-year period at one hospital were initially included. Those available for re-examination were exercised for a duration and intensity considered maximal for their discipline using an over-ground endoscope. Resting and exercising laryngeal and pharyngeal videos ...
Anesthesia for the horse with colic.
The Veterinary clinics of North America. Equine practice    January 18, 2013   Volume 29, Issue 1 193-214 doi: 10.1016/j.cveq.2012.11.005
Boesch JM.This article discusses anesthesia for horses with colic from acute gastrointestinal disease. Emphasis is placed on new developments in pre-, intra-, and immediate postoperative management over the last decade, including early goal-directed therapy (EGDT) in the resuscitation of septic patients, the controversy over the optimal fluid type to administer, and the management of complications, such as cardiovascular depression, hypoventilation and hypoxemia, and decreased colloid oncotic pressure (COP). An update on analgesia is also provided; older drugs such as ketamine and lidocaine are increasi...
Characteristics of palatal instability in Thoroughbred racehorses and their association with the development of dorsal displacement of the soft palate.
Equine veterinary journal    January 7, 2013   Volume 45, Issue 4 454-459 doi: 10.1111/evj.12004
Allen K, Franklin S.Two forms of dynamic upper respiratory tract obstruction affecting racehorses that involve the soft palate have been described: palatal instability (PI) and dorsal displacement of the soft palate (DDSP). Observation of DDSP is straightforward in that it is an all or nothing event, whereas observation of PI is subjective and interpretation may vary between clinicians. Objective: The aim of this study was to attempt to characterise PI and to investigate endoscopic features that precede DDSP. Methods: A retrospective study on the endoscopic observations of Thoroughbred racehorses referred for hig...
Reliability of 400-cell and 5-field leukocyte differential counts for equine bronchoalveolar lavage fluid.
Veterinary clinical pathology    January 3, 2013   Volume 42, Issue 1 92-98 doi: 10.1111/vcp.12013
Fernandez NJ, Hecker KG, Gilroy CV, Warren AL, Léguillette R.Reliable enumeration of mast cells and eosinophils in equine bronchoalveolar lavage (BAL) fluid is important because small increases in the percentages of these cells support the clinical diagnosis of inflammatory airway disease (IAD). Increases in BAL neutrophils also occur with IAD but are not specific due to overlap between IAD and recurrent airway obstruction (RAO). Objective: The objectives of this study were to evaluate the reliability of a standard 400-cell leukocyte differential count and an alternate method evaluating 5 microscopic fields at 500× magnification in equine BAL fluid cyt...
Use of continuous positive airway pressure (CPAP) to optimise oxygenation in anaesthetised horses–a clinical study.
Equine veterinary journal    December 19, 2012   Volume 45, Issue 4 414-418 doi: 10.1111/evj.12011
Mosing M, Rysnik M, Bardell D, Cripps PJ, MacFarlane P.Hypoxaemia is a common problem during equine anaesthesia. Continuous positive airway pressure (CPAP) is a ventilation mode routinely employed in man to overcome hypoxaemia but has not been objectively assessed in horses. Objective: To test the effects of CPAP on oxygenation and its indices in anaesthetised horses in a clinical setting. Methods: Twenty-four healthy horses requiring anaesthesia in dorsal recumbency were anaesthetised using a standard protocol. Following orotracheal intubation and connection to an anaesthetic machine capable of applying CPAP, horses were randomly allocated to ven...
Acid-base indicators in the venous and arterial blood of horses affected by recurrent airway obstruction (RAO).
Polish journal of veterinary sciences    December 12, 2012   Volume 15, Issue 3 463-467 doi: 10.2478/v10181-012-0071-x
Stopyra A, Sobiech P, Waclawska-Matyjasik A.The acid-base equilibrium is closely linked to gas exchange in the lungs, and respiratory exchange ratios are used to evaluate respiratory effectiveness and tissue oxygen levels. Acid-base indicators are determined in both arterial and venous blood samples. This study compares the usefulness of acid-base indicators of venous and arterial blood in monitoring the condition of horses with recurrent airway obstruction. Prior to treatment involving bronchodilating glucocorticoids, expectorant and mucolytic drugs, more pronounced changes were observed in venous blood (pH 7.283, pCO2 61.92 mmHg, pO2 ...
Anesthetic management of a horse with traumatic pneumothorax.
The Canadian veterinary journal = La revue veterinaire canadienne    December 4, 2012   Volume 53, Issue 6 648-652 
Chesnel MA, Aprea F, Clutton RE.A traumatic pneumothorax and severe hemorrhage were present in a mare with a large thoracic wall defect, lung perforation, and multiple rib fractures. General anesthesia was induced to allow surgical exploration. We describe the anesthetic technique, and discuss the management of the ventilatory, hemodynamic, and metabolic disturbances encountered. Gestion de l’anesthésie générale d’un cheval avec un pneumothorax d’origine traumatique. Nous décrivons le cas d’une jument présentée avec un important déficit de la paroi thoracique d’origine traumatique, une perforation pulmonaire...
Traditional and quantitative assessment of acid-base and shock variables in horses with atypical myopathy.
Journal of veterinary internal medicine    November 29, 2012   Volume 27, Issue 1 186-193 doi: 10.1111/jvim.12003
van Galen G, Cerri S, Porter S, Saegerman C, Lefere L, Roscher K, Marr C, Amory H, Votion DM.Descriptions of acid-base disturbances in atypical myopathy (AM) are limited. Objective: Describe and compare traditional and quantitative acid-base abnormalities and cardiovascular shock status in horses with AM at admission. Methods: 34 horses with AM, 15 healthy controls. Methods: Retrospective case-control study. Records were searched for shock variables (packed cell volume [PCV], blood urea nitrogen [BUN], heart and respiratory rate) and acid-base variables (venous blood gas analysis, electrolytes, total protein, lactate) on admission. Base excess (BE) of free water (BEfw), chloride (BEcl...
Evaluation of squeeze-induced somnolence in neonatal foals.
American journal of veterinary research    November 28, 2012   Volume 73, Issue 12 1881-1889 doi: 10.2460/ajvr.73.12.1881
Toth B, Aleman M, Brosnan RJ, Dickinson PJ, Conley AJ, Stanley SD, Nogradi N, Williams CD, Madigan JE.To test the hypothesis that application of a rope restraint device would result in behavioral, electroencephalographic, and humoral changes consistent with sleep and analgesia in neonatal foals. Methods: 8 healthy neonatal foals. Methods: Following acclimatization to experimental conditions, each foal underwent a series of assessments before and during or at the end of a period of restraint via application of a restraint device (soft linen rope). Assessments included measurements of heart and respiratory rates, rectal temperature, and circulating β-endorphin and steroid hormone concentrations...
Effects of leukotriene C4 on the bioelectric properties and ion transport of equine tracheal epithelium.
American journal of veterinary research    November 28, 2012   Volume 73, Issue 12 2007-2012 doi: 10.2460/ajvr.73.12.2007
Lester GD, Rice BL.To determine effects of leukotriene (LT) C(4) on ion transport across equine tracheal epithelium. Sample-Tracheal epithelium from cadavers of 24 horses considered free of respiratory tract disease. Methods: Mucosae were mounted into Ussing chambers, and short-circuit current (I(sc)) was monitored over time. Effects of LTC(4) were examined for various conditions, including addition of amiloride (10μM) to the mucosal bath solution, addition of bumetanide (10μM) to the serosal bath solution, addition of barium (1mM) to the serosal bath solution, and substitution of gluconate for chloride and HE...
Where does it hurt?
Equine veterinary journal    October 31, 2012   Volume 44, Issue 6 627-628 doi: 10.1111/j.2042-3306.2012.00661.x
Barr AR.No abstract available
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